Individual
MRS. HALINA MARIA GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6820 THOMPSON RD, SYRACUSE, NY 13211-1321
(315) 453-4667
Mailing address
6820 THOMPSON RD., SYRACUSE, NY 13221
(315) 453-4667
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
001347-1
NY
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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